Relationship between hyperuricemia and risk of coronary heart disease in a middle-aged and elderly Chinese population

Ye Yang1, Jian Tian1, Chao Zeng1

  • 11 Department of Orthopaedics, Xiangya Hospital, Central South University, Changsha, Hunan Province, China.

Insights

Hyperuricemia, or high uric acid levels, is linked to increased coronary heart disease (CHD) risk in middle-aged and elderly Chinese individuals. This finding suggests hyperuricemia may be an independent risk factor for CHD.

Area of Science:

  • Cardiology
  • Metabolic Disorders
  • Epidemiology

Background:

  • Coronary heart disease (CHD) poses a significant health burden.
  • Hyperuricemia is a metabolic condition characterized by elevated uric acid levels.
  • The association between hyperuricemia and CHD risk requires further investigation, particularly in diverse populations.

Purpose of the Study:

  • To examine the relationship between hyperuricemia and the 10-year risk of coronary heart disease (CHD).
  • To assess this association in a middle-aged and elderly Chinese population using the Framingham risk score (FRS).

Main Methods:

  • A cross-sectional study involving 6347 patients undergoing routine check-ups.
  • Hyperuricemia defined by specific uric acid thresholds for males and females.
  • Multivariable logistic regression analysis was employed to evaluate associations after adjusting for confounding factors.

Main Results:

  • The prevalence of hyperuricemia was 18.1% in the study population.
  • Patients with hyperuricemia showed an increased 10-year CHD risk compared to those without.
  • This increased risk was observed in the total population (OR 1.28), males (OR 1.25), and notably in females (OR 3.76).

Conclusions:

  • Hyperuricemia is positively associated with an increased 10-year risk of coronary heart disease.
  • The findings suggest that hyperuricemia may serve as an independent risk factor for CHD.
  • This highlights the potential importance of monitoring uric acid levels in middle-aged and elderly individuals for cardiovascular risk assessment.

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